HomeMy WebLinkAboutPermit Septic Tank 1988-7-21
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Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
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for:
GG 7-lq
FOR OFFICE USE ONLY
Application/ .~/?:~~~~
Perml.t # C;::>(V6~ no
roWi_SHIP
17
I. RANGE
03
SECTlON I TAX LOT DOUT OF
25,1.4 1100
J WTjPl,RC;::::' [BLOCK
LOCATION ADDRESS
STREET
CI':'Y
ZIP
PROpOSED USE OF PROPERTY
~ Residential D Industr ial
o Commercial 0 Public
~
S~BDIVISION/PARTITION {if applicable)
2375 Marcola Road, Springfield, Oregon 97477-2565
STRUCTURES CURRENTLY ON PROPERTY
Existing single family dwelling, garage
~lHLCTIONS 1U SITE
Hwy #105 to Mohawk exit, left over bridge, right on Marcoal Road, ablut 1/4 mile on the right
hand side of road
vESCRIPTION OF PROPOSED WORK - Be SPECIFIC
DECLARED ~'VALUE
SEPTIC INSPECTION FOR LOAN REVIEW
;: OF BEDROOMS I ;It OF STORIES I #'.of EHPLO:ECS
na na none
O;~llER' S NAME AND ADDRESS
Bill Peterman I Same as the .iob address above
CONTRACTOR'S NAME AND OSR #
Same as the. above
P.;::;Rl>l1T TO BE MAILED TO (NAME AND ADDRESS)
Garv L. Rasmussen, 3332 Main Street, Springfield, C,005U'' 97478-5880
lvATER SUPPLY
Well
o Proposed
I81 Existing
TELEPHONE NUMBER
None Given
TELEPHONE NUMBER
~<lIIlf.
T~LEPHONE NUMB~R
746-3498
I HAVE CAREFULLY EXAMINED THE COOPLETED APPLICATION l>'OR PERMIT. dlld ,]0 hcrC';;y certify T.hat all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 cr-,Il<:rad:. p.trchaser; (lgauthorized agent.
I f~rther certify that any and all work performed shall be done in <,-cCUl.d,mf;<': loti tli tb~ D,di.nanc~(; of Lane County and th.e Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will bl: :nade of ar.)' Sf-.Tl1ctlll."e witho~t the. pcrmi.s~ion of t;he Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect. as reSuired by ORS 701.055, - that 'if exempt the basis for exemption
1.S noted hereon, and that only subcontractors and employees who are .1n comp~aj W1.th ORS 701.055 ..nIL be used on this proJect. I HAVE READ AND
C;C;;~;ICA~;;;;;jtlfl ?<- %~~fi~ l' 7-19-88
NAME (please pr1.nt) . ~ SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING COND~TIONS!
[] PLANNING/ZONING:
Zone
na
Parti hon #
Parcel #
Parce 1 Si ze
na
Minimum Setbacks: CL, front
CL, side
interior
rear
COM:.'1ENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REOUTRFO
7-19-88 RlH
Date:
n
[] SANITATION:
S. 1. #
B. P. it
Installation Record Iss'ued? 0 Yes D No
Maximum Depth
'~;;:.. ~J.L f.,:::;~71
Date: U7.--.1) ~
Use
Installation Gallon Lineal Feet
Specifications: Tank of
COMMENTS: ~7LL. .p!~~____ sas
~~~...~~
[] PLANS ~XAMINATI~pe Groun
COMNENTS:
l>at..e:
n
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~~O~ED'BY ~ILD~ OFF~C 7DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTM OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 E T 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBi,CKS A
C'-,;'10:: OF
RE:'lEDIES A
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D O'":':!ER CC::DIT!O::5 0: APPRO'I,\L ~:I)ST BE S'!'RIC-:-:"Y Q2SE:RVED. VIOLATrO:J c,;~ ReSULT IN REVQ-
IllS P!':R~ll" CIT"TIO:; W:DSR PROVISrO:.S Or L,.,,,r: cot;:;,y':; INFR,\CTIO;-': ORDI::.;"cii, ;,,,O/OR OTHER
LOWED BY LAW. _jl
,
\\HEN RE..;Oi' FOR r:;sp!:C'rIO~, CA,-:" &87-';065. i\ ~:n;vlU:.: OF ,\7 L;:;;,$T 2~ 1l00)RS ;\DVl\::CE :WTICE..FOR I:lSPEC-
T,LU:~ IU:QU.S;'S :',,,ST ill:: GiVE::. i-lil':e the tollowi:1g in:o:-:natio.. ~e.;ldy: re~mit number, job address. tytle
of inspection, when it ..'ill be ready, your :1<lmc ant.! p~.O;,.0 :l\,l;;"ber, and J:1y spectal circctlOns to site.
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1. Foundation Inspection: TO be made after trenches are excavated and forms erected and when all
~aterlals for the tounuation are Jelivcrcd on the ~ob. Where co~crctc from a central mixing
plant (commonly termed "transit mixed") is to be u;ed, naterials need not be on1the job.
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.2. Concrete Slab ~ Under-?loorInsnection; To_be mace af~er all in-slab or under~floor building
'serVl~e equipment, concult, ~~pLng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, includingl'the subfloor.
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"3. Framing ~ Insulation Inspections: To be made after the roof, all framing, fire 'blOCking, and
bracing are 1n ~ldce and all p1pes, fireplaces, chimneys: and vents are complete and all rough
~. electrical and plumbing are approved. All wall insulation and vapor barrier ar~ in place.
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4. Lath and/or Gvosum Board Inspection: To be made after all lathing and gypsum board, '.nterior
ana-cxterIOr;-rs-rn place out aetore any plastering 1S applied and before gyps~ board joints
and fasteners are tape? and finished.
BUILDI~G DIVISIO~:
REQlJB.::::) 1~~SPECTI0:--1S:
5. Final Insoection: To be made after the building is complete and before occupan~y.
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APPROVAL REQUIRED. ~o work shall be done on any part of ~he building or stru~ture beyond the point
indicated in each successive inspection without fir~t obtaining the aporoval of the building official.
Such approval shall be given only after an inspection shall have been ~ade of each succefisive step
in the construction as indicated by each of the inspections required. . J; _ _ .
~OTE: All building oermits" ;eguire inspe~ti~ns f~~ the work auth~rized,' such as but not limited to:
A. Block wall: T~ be nace'after reinforcing is in place, but before any grout is ~oured. This
rnspection is required for each bond' beam pour. There will be no approval until the plumbinq
and electrical inspections have been made and approved.. . ~ -
,B. \~ood Stove: To be made after;completion of masonry. (if applicable) and ",-hen in~tallation is
compl~ Installation shall'be'in accordance with an approved, nationally rec9gnized testing
agency and the manufacturer's:installation instructions. i'
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sew'er or septic system for setback. re~irements';- blocking, footing connection, tiedowns,
sjurting, and plumb~ng connections-.> ,. \<} 11 "", ~1 \.
1. Footings and piers-~t(h'<:ompli:.wi'hh\S~;t!l' fbund~~lon requirements for mobile ~o~~; ;,/.; ..r'..... ~
recommended by the manufacturer. '". -\.' - -'~' ..
2.
Mobile home minimum finish_floor elevation shall
plain ~anagement letter.
.be certified ....hen required,by a flood-
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J. Mobile home tiedowns, when required,rand skirting,shall be installed and ready fer inspec-
tion'within at least 30 days after occupancy. Tiedowns and skirting shall ~e installed
per enclosure.
D. Swimming Pool: Below grade when steel is_in place and before concrete is poure~. Above grade
wnen pool-rs-installcd. I
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APPROVED PLA~S ;.IOST BE'O:-< THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS, PERJ>1IT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPE~DED OR ABANDONED FOR ~10RE'!';THAN 180 DAYS_
SUSPENSION OR REVOCATION ;.lAY OCCUR IF TIllS PER.~llT WAS ISSUED 0:>1 THE BASIS OF INCO~lPLETE OR ERRONEOUS
INFORHATION. '. .
ANYONE PROCEEDING P"ST THE POII;T or 'REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK'~
SUBSURFACE A~D ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1.
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Permits shall be effective for one year from th~ date of issuance.
Upon completing the construction for which a permit ,has been issued, the permit;,holdcr shall
notify the Lane County Department 'of Planning and Cowmunity Development by submitting the
install~tion record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does' comply with such
rules"the,Department' shal\ issue'alce~tifi~ats of satisfactory comple~ion to tpe,pcrmiti ~older.
If the construt'-tLon doe's not:' comply with suth'rules,trre-Dt!flar'fulent sha'll noti"t-';''"'''the~pcrm'it
holder and_ shall require satisfactory completion before issuiQg the ccrtifi.cat~. Failure to
_ meet the requirements for satisf<lctory completion w.lthin;a ,reasonable t,ime constitutes. a V10-
'"1.ati'o-n""f ORS 454,605 to 454.745 and this rule. - - - -. .....----- r ..- ,
Setbacks - Subsurtilce S~waqe Dis~osal r
Septic "!'ank Drainfield r
10' 10'
10' .10'
5' 10'
50: 100'
2.,
Fro;n:
Interior propert
Ecge or' road rl<;
Builuinq tcun(:at
\.;ells, other .....at
r sources
lines
t-of-way
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Please complete all lines inside white boxes, If possible.
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OWNER OF PROPERTY
;(,37.J ~pi(.J,
OWN~ q1tf11
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7-/9- rnr
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?~6-3r,/~~
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q? i/7 ~-5'8'f(O
ZIP
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97 '177
ZIP
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MAP, PARCEL NUMBER
1'7 03
IOWM}Up Rang.
(Found 00 ~'" tho ._i':'?,ollOO DopL)
bectlOn 1f4 toeet.on
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Town.hlp
Rang,
s.ctlon
1/4 Section
Tn Lot
lownanlp
Hoang. beCll10n 114 beCuon
~~)'sr[f'
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'0 LOl
~37.5
t17'7'77
SITE ADDRESS
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MAIL PERMIT TO:
r~tf-eJ ~ g,;;t;,f(7~
NAMe ~
;"13 -3.:2-.. :::?z. .
AUUHt;.::o" _ L? j
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t1717 f?
ZIP
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EXISTING BUILDINGS
ON PROPERTY
t:aoHouse
c::J Barn
~arage
c::J Mobile, Home
c::J Shed
Other
1
DIrections to site
from Courthouse
--i Ht1!'y ./t!C7 ;t;:.-
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FOR MOBILE HOME
PLACEMENT ONL Y
Moder
Year
Size
No, of Tip-outs
No, of Bedrms
Ucense #
.r:(
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land Management Dlv. etaft can not
be h.ld responsible for evaluation. or
,..cammendatlane based on fals.,
Inaccurate or Incompl.te Information